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The Medicare program paid about $172 million in claims towards penis pumps, a treatment for erectile dysfunction, between 2006 and 2011, according to the inspector general for the Department of Health and Human Services. That’s about double the cost of buying them at retail.

Penis pumps cost the U.S. government’s Medicare program $172 million between 2006 and 2011, about twice as much as the consumer would have paid at the retail level, according to a government watchdog’s report released on Monday.

The report by the inspector general for the Department of Health and Human Services said Medicare, the government health insurance system for seniors, paid nearly 474,000 claims for vacuum erection systems, or VES, totaling about $172.4 million from 2006 to 2011. Yearly claims for the devices nearly doubled from $20.6 million in 2006 to $38.6 million in 2011.

According to the Mayo Clinic, penis pumps are one of a few treatment options for erectile dysfunction.

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